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General NPI Number Information
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NPI Number | 1386713733
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Entity Type | Individual
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Provider Name | LUANNE R CENTRELLA DC,L.AC
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Gender | Female
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 04/06/2010
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Provider Practice Location Address
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Address Line | 22 OLD SHORT HILLS ROAD SUITE 109
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City | LIVINGSTON
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State | NJ
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Zip | 07039
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Country | US
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Telephone | 973-641-2343
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Fax | 973-994-1995
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Provider Business Mailing Address
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Address Line | 22 OLD SHORT HILLS ROAD SUITE 109
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City | LIVINGSTON
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State | NJ
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Zip | 07039
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Country | US
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Telephone | 973-641-2343
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Fax | 973-994-1995
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 38MC00650700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 25MZ00074600
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License Number State | NJ
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